| |
275 Bicentennial Hwy Ste 101, Springfield, MA 01118-1965 | |
(413) 783-3100 | |
(413) 782-7998 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 275 Bicentennial Hwy Ste 101, Springfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578549895 | NPI | - | NPPES |
9705511 | Medicaid | MA | |
1578549895 | Other | MA | TRICARE NORTH REGION |
M17403 | Other | MA | BLUE SHIELD OF MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | 75446 (Massachusetts) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Steven T Berger |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1396721262 PECOS PAC ID: 0143209106 Enrollment ID: I20050420000053 |
Provider Name | Christopher M Symolon |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1932198991 PECOS PAC ID: 6901992437 Enrollment ID: I20071015000463 |
Provider Name | Anna Symolon |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174501589 PECOS PAC ID: 4183642093 Enrollment ID: I20071129000469 |
Mailing Address | Practice Location Address |
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275 Bicentennial Hwy Ste 101, Springfield, MA 01118-1965 Ph: (413) 783-3100 | 275 Bicentennial Hwy Ste 101, Springfield, MA 01118-1965 Ph: (413) 783-3100 |